STACY A SMITH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004025

License Status

INACTIVE

Business

First Name

STACY A

Last Name

SMITH

Business Name

STACY A SMITH

Original Issue Date

10/28/1983

Effective Date

09/12/2016

Expiration Date

09/30/2018

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2018